MR. MARK L ELGART (NPI# 1912006628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912006628 |
| Entity Type | Individual |
| Full Name | MR. MARK L ELGART |
| Credential | CPO |
| Practice Address |
2001 E 7th St Suite I Charlotte NC 28204-3311 |
| Practice Telephone | 7043341860 |
| Practice Fax Number | 7043472785 |
| Mailing Telephone | 7043341860 |
| Mailing Fax Number | 7043472785 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 0141350005 | 01 | |
| PARTNERS | 14317 | 01 | |
| NC | 7795076 | 05 | |
| NC | 7701450 | 05 | |
| NC | 7700566 | 05 |
| Street Address |
2001 E 7TH ST SUITE I |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821343807 | Benjamin Craig Sigmon | Specialist | 2001 E 7th St, Suite I, Charlotte, NC 28204-3311 | 2012-07-17 |
| 1194052654 | Robert T Wallace | Specialist | 2001 E 7th St, Charlotte, NC 28204-3311 | 2009-11-04 |
| 1366697294 | James Kevin Clevinger | Specialist | 2001 E 7th St, Charlotte, NC 28204-3311 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| 1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
| 1609439868 | Latarsha Cooper | Prosthetist | 9711 David Taylor Dr Apt 228, Charlotte, NC 28262-2376 | 2019-04-15 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1255724423 | Dana Cannon | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
| 1306496187 | Travis Barlow | Prosthetist | 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1359 | 2019-09-13 |
| 1306334792 | Matthew Earl Glover | Prosthetist | 220 Westinghouse Blvd Ste 405, Charlotte, NC 28273-4260 | 2018-05-01 |
| 1114310281 | Xquisite Xtensions | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
| 1386817336 | Kerr Scott Wheatley | Prosthetist | 411 Billingsley Rd Ste 104, Charlotte, NC 28211-1066 | 2008-04-10 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.